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Published in Anton Sebastian, A Dictionary of the History of Medicine, 2018
Blumberg Sign Rebound tenderness in cases of peritoneal inflammation. Described by a German surgeon and gynecologist, J.M. Blumberg (1873–1955). He established the X-ray and Radium Institute in Berlin, and emigrated to England during the Nazi regime.
Metaphors in medical education
Published in Alan Bleakley, Thinking with Metaphors in Medicine, 2017
The ‘dry essence’ statement about the boy is then: an otherwise well 16-year-old boy who presents with acute onset of fever, severe, focalized abdominal pain, vomiting and anorexia. The physical examination and laboratories were significant for right lower quadrant pain, guarding, rebound tenderness, and an elevated white blood cell count. This patient’s presentation is most consistent with acute appendicitis.(Fleming et al. 2012, p. 796) The authors italicize the single keywords at the heart of the already reduced semantic qualifiers. Of the 11 keywords, five are metaphors in context or technical metaphors (‘acute’, ‘severe’, ‘focalized’, ‘guarding’, ‘rebound tenderness’). ‘Rebound tenderness’ is a wonderful metaphor for unusual sensitivity to removal of touch or pressure (although it is not an entirely reliable palpation technique), and an illustrative example of a metaphor as activity. Its alternative name ‘Blumberg’s sign’ – in memory of the German surgeon Jacob Mortiz Blumberg (1873–1955) who first developed the technique – is merely descriptive and honorific, an eponym.
Severe hemoperitoneum due to endometriosis in a non-pregnant woman under dienogest therapy: a case report
Published in Gynecological Endocrinology, 2020
Innocenza Palaia, Erlisa Bardhi, Serena Maria Boccia, Francesco Pecorini, Angela Musella, Pierluigi Benedetti Panici
The abdominal and transvaginal ultrasound revealed evidence of free fluid in the pelvic cavity and in both the left and right hypochondrium. Despite the presence of blood clots, that added difficulty to the examination, the ovaries appeared normal and nodules of deep endometriosis were visualized. Meanwhile, the general conditions of the patient were deteriorating, as she complained of increasing pain despite her i.v. drip, her heart beat became tachycardic, and she was becoming paler. At physical examination there were signs of peritoneal irritation (Blumberg sign positive). An emergency blood count was run, revealing Hb level of 10.0 g/dl.